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Doctor insights on:
Opiate Withdrawal

Opiate Withdrawal (Overview)

Opiate withdrawal refers to the variety of signs and symptoms that occur after discontinuing or decreasing the use of opiates after a period of regular use. Withdrawal is very uncomfortable but not life threatening. Symptoms of withdrawal include dilated pupils, goose bumps, insomnia, agitation, sweating, muscle aches, increased tearing, runny nose, nausea, vomiting, and abdominal pain.

Opiate Withdrawal (Overview)

Opiate withdrawal refers to the variety of signs and symptoms that occur after discontinuing or decreasing the use of opiates after a period of regular use. Withdrawal is very uncomfortable but not life threatening. Symptoms of withdrawal include dilated pupils, goose bumps, insomnia, agitation, sweating, muscle aches, increased tearing, runny nose, nausea, vomiting, and abdominal pain.

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Depends:
The half-life (how long ot takes to clear half of a drug from the body) of the opioid causing withdrawal syndrome determines the onset and duration of symptoms. For example, heroin and Methadonewithdrawal symptoms peak in 36-72 hours and 72-96 hours, respectively, and may last for 7-10 days and at least 14 days, respectively.
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Good tool:
The clinical opiate withdrawal scale (cows) is a clinician-administered, pen and paper instrument that rates eleven common opiate withdrawal signs or symptoms. The summed score of the eleven items can be used to assess a patient's level of opiate withdrawal and to make inferences about their level of physical dependence on opioids.
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